Organization
PSYCHOLOGICAL SERVICES OF JACKSONVILLE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER KUIPER (OFFICE MANAGER)
(904) 264-8311
Entity
Organization
Contact information
Practice address
358 STILES AVE, SUITE B, ORANGE PARK, FL 32073-4012
(904) 264-8311
(904) 264-8377
Mailing address
358 STILES AVE STE B, ORANGE PARK, FL 32073-4012
(904) 264-8311
(904) 264-8377
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY-7122
FL
Other
Enumeration date
06/01/2006
Last updated
09/25/2025
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